Which nursing action takes priority when admitting a elient with right lower lobe pneumonia

A. Elevating the head of the bed 45 to 90 degrees.
B. Auscultating the chest for adventitious sounds.
C. Obtaining a sputum specimen for culture.
D. Notifying the physician of the client’s admission.

方女士，29岁，第1孕，妊娠37周，自诉头晕、视物模糊。护理体查：血压170/110mmHg，产科腹部触诊情况正常，双下肢水肿(++)。尿常规检验：蛋白＞0.5/24h。被诊断为先兆子痫住院治疗。

不妥的护理措施为

A．安置于单人暗室
B．必要时记出入量
C．备床挡、开口器
D．多与病人交谈，安慰病人
E．观察膝反射